33D2196522 CLIA NUMBER - SHAKESPEARE OPERATING LLC DBA BRONX TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 33D2196522
  • Facility Name: SHAKESPEARE OPERATING LLC DBA BRONX TREATMENT CENTER
  • Facility Address: 1250 SHAKESPEARE AVE
    BRONX, NY
    ZIP 10452
  • Facility Phone: 646 350-1633
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ELIANA A. LOPEZ
  • NPI Number: 1942745971
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 33D2196522
LAB Type Physician Office
Facility Name SHAKESPEARE OPERATING LLC DBA BRONX TREATMENT CENTER
Street 1250 SHAKESPEARE AVE
City BRONX
State NY
ZIP 10452
Phone 646 350-1633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2020
Certificate Expiration Date 3/26/2027
Facility Type Physician Office
Lab Director DR. ELIANA A. LOPEZ

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This page was last updated on: 9/29/2025